Presidential Merit Scholarship Interest Form

La Salle Virtual or Alternate In-Person Registration Request Form

If you are unable to attend our scheduled Registration Days on Friday, March 12th or Saturday, March 13th, please complete the below form. A member of our admissions team will reach out to you after submitting the form to confirm your appointment date and time. Thank you!
Parent Name *

First Name Last Name
Parent E-mail *
example@example.com
Parent Phone Number *
Please enter a valid phone number.
Student Name *

First Name Last Name
Appointment Type (choose one) *

Virtual / Zoom In-Person / On-Campus
Registration Appointment Date and Time Preference

Please use the below fields to select your 1st and 2nd choice. Your registration appointment should be scheduled on or before Friday, March 19, 2021 in order to secure your child's spot in the Class of 2025. Families wishing to register and enroll after March 19, 2021 may not be guaranteed a spot.
Preferred Appointment Date & Time (1st Choice) *

Month Day Year
Appointments can only be accommodated on weekdays (Monday to Friday)
Appointments available from 8AM to 3PM AM/PM Option
Preferred Appointment Date & Time (2nd choice / different date from 1st choice) *

Month Day Year
Appointments can only be accommodated on weekdays (Monday to Friday)
Appointments available from 8AM to 3PM Minutes AM/PM Option
I'd like to purchase (and/or browse through) La Salle gear (sweatshirts, logo items, etc.) during my appointment (in-person only). *

Yes No
Additional Requests or Questions:
Should be Empty:

La Salle Virtual or Alternate In-Person Registration Request Form

Registration Appointment Date and Time Preference